Request For Consideration Questionnaire - Dapper Doughnut Franchise

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This field is for validation purposes and should be left unchanged.

Fields marked with * are mandatory.

Personal Information

First Name*

Last Name*

Date*

MM slash DD slash YYYY

Email*

Gender

Male

Female

Birth Date Month

Birth Date Day

Social Security #

Mobile*

US Citizen

Yes

Current Address*

Current City*

Will you have a co-applicant?

Yes

State / Province*

Country*

Zip / Postal Code*

Assets and Liabilities

ASSETSLIABILITIES

Cash on Hand & in Banks ($)*

Mortgages ($)

Current Residence ($)

Credit Cards (total balance) ($)

Other Assets ($)

Other Liabilities ($)

Total Assets ($)*

Total Liabilities ($)*

Asset Comments

Liability Comments

Total Net Worth (Total Assets - Total Liabilities) ($)*

Income and Finance

Annual Salary ($)

Other Income ($)

Annual Total ($)

Amount of cash available for investment?*

Would this business be your sole source of income?

Yes

How long can you support yourself and your family without making withdrawals from your business (in months)?*

How would you finance your franchise?*

Have you ever filed for bankruptcy?

Yes

Career History - Present Employer

Present Employer*

Location (City/State)*

Job Title*

Brief description of job responsibilities*

Additional Career Details

Specific Data

Have you ever owned, operated or worked with any firm that provides products or services similar to ours?*

Yes

Can you devote your full time to the business?

Yes

Are you now, or have you ever been party to any lawsuit - either as defendant or plaintiff?

Yes

Have you ever been convicted of a felony?

Yes

Who will be responsible for the daily operation of your store?*

How does your spouse and family feel about your being in business for yourself?*

When would you be ready to invest in your franchise if you were approved?

Why do you think this franchise will enable you to reach your personal goals?

Other facts you want us to know

List Area / Location Preferences

Preference

List questions you have about this business opportunity

Questions

Acknowledgement

It is understood that the purpose of this questionnaire is for information gathering only and is in no way a binding agreement to purchase franchise opportunities. I acknowledge that there are business risks associated with the purchase and/or operations of any business or franchise venture and that it is my responsibility to evaluate these risks myself and/or with the aid of my own professional advisors.

By selecting True and submitting this questionnaire you assert that the information contained is true and acknowledge that the Franchisor may rely on this information.*

True

False